KELSEY DAWN MATHIS PA-C
NPI 1215491105
Physician Assistant - Medical in South Charleston, WV

Active since January 25, 2019PECOS EnrolledAccepts Medicare Assignment
401 DIVISION ST STE 306, SOUTH CHARLESTON, WV 25309(304) 766-4300 Get Directions Write a Review

NPPES record last updated: January 25, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelsey Dawn Mathis Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELSEY DAWN MATHIS PA-C (NPI 1215491105) is an individual medical provider in South Charleston, West Virginia and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1215491105
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKELSEY DAWN MATHISCredential: PA-C
Location Address401 DIVISION ST STE 306South Charleston, WV 25309-1455
Mailing Address401 Division St Ste 306South Charleston, WV 25309-1455
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 25, 2019
NPI 1215491105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
401 DIVISION ST STE 306, South Charleston, WV 25309

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kelsey Dawn Mathis Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668823832
PECOS Enrollment IDI20240111004420
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
401 DIVISION ST STE 306
SOUTH CHARLESTON, WV 25309
Physician Assistant
401 DIVISION ST STE 306
SOUTH CHARLESTON, WV 25309
Obstetrics & Gynecology
401 DIVISION ST STE 306
SOUTH CHARLESTON, WV 25309
Obstetrics & Gynecology
401 DIVISION ST STE 306
SOUTH CHARLESTON, WV 25309
Physician Assistant (Medical)
401 DIVISION ST STE 306
SOUTH CHARLESTON, WV 25309
Nurse Practitioner (Family)
401 DIVISION ST STE 306
SOUTH CHARLESTON, WV 25309

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelsey Mathis's NPI number?

The NPI number for Kelsey Mathis is 1215491105. It was assigned to this individual provider in the NPPES registry on January 25, 2019.

Where is Kelsey Mathis located?

Kelsey Mathis practices at 401 Division St Ste 306, South Charleston, WV 25309. The listed phone number is (304) 766-4300.

What is Kelsey Mathis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kelsey Mathis enrolled in Medicare?

Yes. Kelsey Mathis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelsey Mathis accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Kelsey Mathis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelsey Mathis was last updated on January 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.